Marty Gullickson Chiropractic
LBN: Marty Gullickson Chiropractic
Marty Gullickson Chiropractic is an health care organization with primary practice located at 17 10Th Ave S , Hopkins MN 55343. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Marty Gullickson Chiropractic can be contacted via phone (952) 927-6639, or through Gullickson, Jeffery Thomas via phone (952) 927-6639.
Contact Information
Primary practice address
17 10Th Ave S
Hopkins MN 55343
Phone: (952) 927-6639
Fax: (952) 927-0178
Website:
Authorized official contact:
Name: Gullickson, Jeffery Thomas Doctor of Chiropractic (DC)
Phone: (952) 927-6639
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2937 | Minnesota |
| Chiropractic Providers / Chiropractor | 111N00000X | 2596 | Minnesota |
Profile Details
| NPI number | 1306919998 |
|---|---|
| LBN Legal business name | Marty Gullickson Chiropractic |
| DBA Doing business as | |
| Authorized official | Gullickson, Jeffery Thomas Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Nov 25th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306919998 | NPPES |
| Minnesota | Other | 42G85MA | BLUE CROSS |
| Minnesota | MEDICAID | 620071100 | BLUE CROSS |
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